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Utah rates for HCPCS 90688

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $22.49 / $51.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $18.68 / $23.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.09 / $29.99 / $34.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $23.59 / $25.06